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Contact Information

BUFFALO DENTAL GROUP PA
1000 HIGHWAY 25 SOUTH
BUFFALO, MN55313
 Phone: 763-682-2363
 Fax: 763-682-3706
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for BUFFALO DENTAL GROUP PA

NPI Number 1003004334
LBN Legal business name BUFFALO DENTAL GROUP PA
Authorized official MARK POKORNEY - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/11/2007
Last updated 10/11/2007 - About 19 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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